ATI RN COMPREHENSIVE PREDICTOR 2026
PROCTORED EXAM NGN-STYLE QUESTIONS
WITH VERIFIED ANSWERS & RATIONALES ATI
EXIT EXAM STUDY GUIDE GRADED A+
This comprehensive question ATI RN Comprehensive
Predictor 2026 study guide features NGN-style multiple-
choice questions with detailed answers and bold italic
rationales covering all major nursing content areas. Each
question is formatted with the correct answer and evidence-
based rationale immediately following, making it perfect for
efficient studying and retention. This verified, graded A+
resource covers Management of Care, Safety, Pharmacology,
Medical-Surgical, Maternal-Newborn, Pediatric, and Mental
Health Nursing to ensure you pass your ATI Exit Exam with
confidence.
Question 1
A charge nurse is assigning rooms for four clients. Which client should be
placed in a private room?
A) A client with pneumonia who requires droplet precautions
B) A client with a wound infection who requires contact precautions
C) A client with active pulmonary tuberculosis
D) A client with a urinary tract infection
Correct Answer: C
Clients with active pulmonary tuberculosis require airborne
precautions, which necessitate a negative-pressure private room with
,an N95 respirator for staff. Droplet precautions (A) and contact
precautions (B) typically allow for cohorting or semi-private rooms. A
urinary tract infection (D) requires standard precautions only.
Question 2
A nurse is receiving change-of-shift report on four clients. Which client
should the nurse assess first?
A) A client with a dressing that needs reinforcement
B) A client reporting pain rated 6/10
C) A client whose urinary output was 100 mL in 12 hours
D) A client scheduled for discharge
Correct Answer: C
Low urine output (100 mL in 12 hours) indicates possible renal failure
or hypovolemia. Urine output should be at least 30 mL/hour (240 mL
in 8 hours), making this an urgent finding requiring immediate
assessment. Pain and dressing reinforcement are important but not
the priority.
Question 3
A nurse is delegating tasks to an assistive personnel (AP). Which task is
appropriate to delegate?
A) Assess a postoperative incision
B) Teach a client how to use a walker
C) Obtain a capillary blood glucose level
D) Evaluate a client's pain level
Correct Answer: C
APs can perform capillary blood glucose testing. Assessment,
teaching, and evaluation all require nursing judgment and fall outside
the AP's scope of practice.
,Question 4
A nurse on a medical-surgical unit is delegating tasks to an LPN/LVN.
Which task should the nurse delegate?
A) Initial admission assessment of a patient with pneumonia
B) Teaching a diabetic patient how to self-administer insulin
C) Administration of a tube feeding to a patient with a gastrostomy tube
D) Evaluation of a patient's response to pain medication
Correct Answer: C
LPNs/LVNs can administer enteral feedings and perform stable,
predictable tasks. Initial assessments, teaching, and evaluation
require RN-level critical thinking.
Question 5
A competent adult client refuses a blood transfusion for religious reasons.
Which actions should the nurse take? (Select all that apply)
A) Respect the client's decision and document the refusal
B) Notify the healthcare provider of the client's refusal
C) Attempt to persuade the client to accept the transfusion
D) Explore the client's understanding of the consequences
E) Administer the transfusion if the client becomes unconscious
Correct Answers: A, B, D
A competent adult has the right to refuse medical treatment based on
autonomy. The nurse should respect the decision, notify the provider,
and explore the client's understanding. Attempting to persuade (C)
violates autonomy, and administering against the client's wishes (E)
constitutes battery.
Question 6
A charge nurse assigns a float RN who usually works in postpartum to a
, medical-surgical unit. Which client is most appropriate for the charge nurse
to assign to this RN?
A) Client in diabetic ketoacidosis (DKA)
B) Client who is postoperative day 2 following an appendectomy, stable
C) Client with a chest tube for a pneumothorax
D) Client receiving IV heparin for deep vein thrombosis
Correct Answer: B
A stable, low-acuity postoperative client is safest for a float nurse
from a different specialty. Complex or unstable clients (chest tube,
titratable heparin, DKA) require an RN with current experience in
those areas.
Question 7
A nurse is providing an in-service about client evacuation during a fire.
Which client should the nurse instruct the staff to evacuate first?
A) A client who uses a wheelchair and is confused
B) A client who is bedridden and wears a hearing aid
C) A client who is ambulatory and receiving oxygen
D) A client who has a fracture and is in balance suspension traction
Correct Answer: C
RACE protocol: Rescue (ambulatory clients first), Alarm, Confine,
Extinguish/Evacuate. Ambulatory clients can walk out independently
but need guidance first due to oxygen explosion risk (turn off O2,
remove cannula). Evacuating them first clears the way for rescuing
less mobile clients.
Question 8
A nurse is caring for a client who has a new diagnosis of colon cancer and
is scheduled for surgery. The client states, "I don't want to have the surgery.
I just want to go home." Which action should the nurse take first?
PROCTORED EXAM NGN-STYLE QUESTIONS
WITH VERIFIED ANSWERS & RATIONALES ATI
EXIT EXAM STUDY GUIDE GRADED A+
This comprehensive question ATI RN Comprehensive
Predictor 2026 study guide features NGN-style multiple-
choice questions with detailed answers and bold italic
rationales covering all major nursing content areas. Each
question is formatted with the correct answer and evidence-
based rationale immediately following, making it perfect for
efficient studying and retention. This verified, graded A+
resource covers Management of Care, Safety, Pharmacology,
Medical-Surgical, Maternal-Newborn, Pediatric, and Mental
Health Nursing to ensure you pass your ATI Exit Exam with
confidence.
Question 1
A charge nurse is assigning rooms for four clients. Which client should be
placed in a private room?
A) A client with pneumonia who requires droplet precautions
B) A client with a wound infection who requires contact precautions
C) A client with active pulmonary tuberculosis
D) A client with a urinary tract infection
Correct Answer: C
Clients with active pulmonary tuberculosis require airborne
precautions, which necessitate a negative-pressure private room with
,an N95 respirator for staff. Droplet precautions (A) and contact
precautions (B) typically allow for cohorting or semi-private rooms. A
urinary tract infection (D) requires standard precautions only.
Question 2
A nurse is receiving change-of-shift report on four clients. Which client
should the nurse assess first?
A) A client with a dressing that needs reinforcement
B) A client reporting pain rated 6/10
C) A client whose urinary output was 100 mL in 12 hours
D) A client scheduled for discharge
Correct Answer: C
Low urine output (100 mL in 12 hours) indicates possible renal failure
or hypovolemia. Urine output should be at least 30 mL/hour (240 mL
in 8 hours), making this an urgent finding requiring immediate
assessment. Pain and dressing reinforcement are important but not
the priority.
Question 3
A nurse is delegating tasks to an assistive personnel (AP). Which task is
appropriate to delegate?
A) Assess a postoperative incision
B) Teach a client how to use a walker
C) Obtain a capillary blood glucose level
D) Evaluate a client's pain level
Correct Answer: C
APs can perform capillary blood glucose testing. Assessment,
teaching, and evaluation all require nursing judgment and fall outside
the AP's scope of practice.
,Question 4
A nurse on a medical-surgical unit is delegating tasks to an LPN/LVN.
Which task should the nurse delegate?
A) Initial admission assessment of a patient with pneumonia
B) Teaching a diabetic patient how to self-administer insulin
C) Administration of a tube feeding to a patient with a gastrostomy tube
D) Evaluation of a patient's response to pain medication
Correct Answer: C
LPNs/LVNs can administer enteral feedings and perform stable,
predictable tasks. Initial assessments, teaching, and evaluation
require RN-level critical thinking.
Question 5
A competent adult client refuses a blood transfusion for religious reasons.
Which actions should the nurse take? (Select all that apply)
A) Respect the client's decision and document the refusal
B) Notify the healthcare provider of the client's refusal
C) Attempt to persuade the client to accept the transfusion
D) Explore the client's understanding of the consequences
E) Administer the transfusion if the client becomes unconscious
Correct Answers: A, B, D
A competent adult has the right to refuse medical treatment based on
autonomy. The nurse should respect the decision, notify the provider,
and explore the client's understanding. Attempting to persuade (C)
violates autonomy, and administering against the client's wishes (E)
constitutes battery.
Question 6
A charge nurse assigns a float RN who usually works in postpartum to a
, medical-surgical unit. Which client is most appropriate for the charge nurse
to assign to this RN?
A) Client in diabetic ketoacidosis (DKA)
B) Client who is postoperative day 2 following an appendectomy, stable
C) Client with a chest tube for a pneumothorax
D) Client receiving IV heparin for deep vein thrombosis
Correct Answer: B
A stable, low-acuity postoperative client is safest for a float nurse
from a different specialty. Complex or unstable clients (chest tube,
titratable heparin, DKA) require an RN with current experience in
those areas.
Question 7
A nurse is providing an in-service about client evacuation during a fire.
Which client should the nurse instruct the staff to evacuate first?
A) A client who uses a wheelchair and is confused
B) A client who is bedridden and wears a hearing aid
C) A client who is ambulatory and receiving oxygen
D) A client who has a fracture and is in balance suspension traction
Correct Answer: C
RACE protocol: Rescue (ambulatory clients first), Alarm, Confine,
Extinguish/Evacuate. Ambulatory clients can walk out independently
but need guidance first due to oxygen explosion risk (turn off O2,
remove cannula). Evacuating them first clears the way for rescuing
less mobile clients.
Question 8
A nurse is caring for a client who has a new diagnosis of colon cancer and
is scheduled for surgery. The client states, "I don't want to have the surgery.
I just want to go home." Which action should the nurse take first?
